38D0942387 CLIA NUMBER - FRESENIUS KIDNEY CARE ROSE QUARTER

Laboratory Demographics

  • CLIA Code: 38D0942387
  • Facility Name: FRESENIUS KIDNEY CARE ROSE QUARTER
  • Facility Address: 4905 NE MARTIN LUTHER KING BLVD
    PORTLAND, OR
    ZIP 97211
  • Facility Phone: 503 288-7020
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LESLIE STEED
  • NPI Number: 1215397534
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0942387
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE ROSE QUARTER
Street 4905 NE MARTIN LUTHER KING BLVD
City PORTLAND
State OR
ZIP 97211
Phone 503 288-7020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LESLIE STEED

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This page was last updated on: 9/29/2025